Amendments to House Bill No. 2
Committee Study Bill Copy
Requested by Representative Jane Gillette
For the House Appropriations Committee
Prepared by Joshua Poulette
March 14, 2023 (8:16am)
1. Page B-2: .
Following: line 3
Insert: "a. Medicaid Provider Rate Increase for Inpatient Non-Critical Access Hospital Services
1,445,123 2,951,308 [General Fund FY24 FY25]
5,162,989 10,529,241 [Federal Special Fund FY24 FY25]"
2. Page B-2: .
Following: line 25
Insert: "The line item for Medicaid Provider Rate Increase for Inpatient Non-Critical Access Hospital Services is contingent on the Department of Public Health and Human Services' creation of a system that evaluates the Upper Payment Limit payment methodology, including but not limited to the integrity of the cost-to-charge ratio calculation, allowable reportable hospital costs, and alternative Upper Payment Limit calculation methods. The department shall also require non-critical access hospitals to provide evidence annually of how the Upper Payment Limit payments impact efficiency, quality of care, and access. The department may additionally develop a system in which non-critical access hospitals are assessed a graduated penalty for high outlier cost-to-charge ratios."
- END -
Explanation - This amendment adds funding for Medicaid provider rate increases for inpatient non-critical access hospital services with accompanying contingent language. Total funding is $4.4 million general fund and $15.7 million federal special funds.